Individual
MIGUEL OSCAR CABRERA BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
600 IMOGEN AVE APT 308, LOS ANGELES, CA 90026-3541
(323) 513-6094
Mailing address
600 IMOGEN AVE APT 308, LOS ANGELES, CA 90026-3541
(323) 513-6094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
93059
CA
Other
Enumeration date
07/02/2024
Last updated
07/18/2024
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